Organization
C. LOUISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHANTAYE LOUISE MCLAUGHLIN (CEO)
(404) 709-5148
Entity
Organization
Contact information
Practice address
2445 REX RD APT DD2, ELLENWOOD, GA 30294-4422
(404) 709-5148
Mailing address
5656 JONESBORO RD STE 111, LAKE CITY, GA 30260-3809
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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